Shoals Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SHOALS AMBULANCE LLC

Doing business as

PRIORITY AMBULANCE

Practice address

310 E Dr Hicks Blvd
Florence, AL 35630-5770

Phone

(256) 275-3342

NPI assigned

Jan 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mickeul B Gibson

Title

Ceo

Phone

(844) 597-4911

Specialties & licenses 1

Addresses

Other names 1

• PRIORITY AMBULANCE Doing business as

Tax ID family

Priority Ambulance4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Shoals Ambulance LLC

  • Land Ambulance
  • Bessemer, AL
  • NPI 1073871836
  NPD tax ID
• Shoals Ambulance LLC

  • Land Ambulance
  • Panama City, FL
  • NPI 1336088301
  NPD tax ID
• Shoals Ambulance LLC

  • Land Ambulance
  • Knoxville, TN
  • NPI 1356761589
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1497177695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 S EAST ST",
            "address_2": "SUITE 5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272038",
            "telephone_number": "844-597-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305770",
            "telephone_number": "256-275-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOALS AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MICKEUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-597-4911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIORITY AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barry Shelton, LPTA
• Beaumont Lawson Shelton, DMD
• Holly L Sherrod, LICSW-S, PIP
• Michael Shifflet
• Phillip Palmer Shipp IV, DDS
• Shoals Audiology
• Shoals Committee on Programs and Employment for the Mentally Retarded
• Shoals Committee on Programs and Employment for the Mentally Retarded
• Shoals Counseling, LLC
• Shoals Dental Center, Inc

• Land Ambulance in Florence, AL
• Providers in Florence, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.